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Published: 2015-05-28

Single-Versus Double-Row Arthroscopic Rotator Cuff Repair in Massive Tears

EnZhi Wang, Liang Wang, Peng Gao, ZhongJi Li, Xiao Zhou, SongGang Wang

(Department of Orthopaedic Surgery, People’s Hospital of Zhangqiu, Zhangqiu, Shandong, China (mainland))

Med Sci Monit 2015; 21:1556-1561

DOI: 10.12659/MSM.893058


Background: It is a challenge for orthopaedic surgeons to treat massive rotator cuff tears. The optimal management of massive rotator cuff tears remains controversial. Therefore, the goal of this study was to compare arthroscopic single- versus double-row rotator cuff repair with a larger sample size.
Material and Methods: Of the subjects with massive rotator cuff tears, 146 were treated using single-row repair, and 102 were treated using double-row repair. Pre- and postoperative functional outcomes and radiographic images were collected. The clinical outcomes were evaluated for a minimum of 2 years.
Results: No significant differences were shown between the groups in terms of functional outcomes. Regarding the integrity of the tendon, a lower rate of post-treatment retear was observed in patients who underwent double-row repair compared with single-row repair.
Conclusions: The results suggest that double-row repair is relatively superior in shoulder ROM and the strength of tendon compared with single-row repair. Future studies involving more patients in better-designed randomized controlled trials will be required.

Keywords: Arthroscopy, Outcome Assessment (Health Care), rotator cuff




Published: 2015-05-28

MicroRNA-19a and CD22 Comprise a Feedback Loop for B Cell Response in Sepsis


Yinan Jiang, Hongmin Zhou, Dandan Ma, Zhonghua Klaus Chen, Xun Cai

Med Sci Monit 2015; 21:1548-1555

DOI: 10.12659/MSM.894321

Published: 2015-05-27

Mechanisms Underlying Neurocognitive Dysfunctions in Recurrent Major Depression


Piotr Gałecki, Monika Talarowska, George Anderson, Michael Berk, Michael Maes

Med Sci Monit 2015; 21:1535-1547

DOI: 10.12659/MSM.893176